Pre-operative embolization of a complex systemic to pulmonary vascular malformation.
| Autor: | Brassil M; Department of Medical Imaging, St Michael's Hospital, Unity Health Toronto, Toronto, Canada., Li Y; Department of Medical Imaging, St Michael's Hospital, Unity Health Toronto, Toronto, Canada., Ko M; Department of Thoracic Surgery, St Joseph's Health Center, Unity Health Toronto, Toronto, Canada., Faughnan ME, Prabhudesai V |
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| Jazyk: | angličtina |
| Zdroj: | BJR case reports [BJR Case Rep] 2023 Sep 11; Vol. 9 (5), pp. 20230056. Date of Electronic Publication: 2023 Sep 11 (Print Publication: 2023). |
| DOI: | 10.1259/bjrcr.20230056 |
| Abstrakt: | A 38-year-old male patient presenting with mild exertional dyspnea was noted to have a lingular opacity on chest radiograph. CT of the chest demonstrated an unusual complex inferior lingular vascular malformation with branches arising from the left internal thoracic artery and the left inferior diaphragmatic artery via the celiac artery. There was suspected communication with both pulmonary arterial and venous branches. Following thorough assessment and comprehensive clinical investigation, the patient elected to proceed to definitive surgical management due to potential risk of life-threatening hemoptysis. Interventional radiology performed pre-operative diagnostic angiography and embolization of the systemic feeding arteries. The patient proceeded to have an uncomplicated video-assisted thoracoscopic surgery segmentectomy and was discharged the next day. The patient was asymptomatic at follow-up with complete resolution of the malformation on CT at 6 months. We discuss an uncommon pathology which benefited from multidisciplinary management including successful pre-operative endovascular embolization. (© 2023 The Authors. Published by the British Institute of Radiology.) |
| Databáze: | MEDLINE |
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